实用临床医药杂志2017，Vol.21Issue(11)：73-76,4.DOI:10.7619/jcmp.201711022
颅内压监测对重度颅脑外伤行开颅血肿清除术患者GCS评分、并发症及预后的影响
Influence of intracranial pressure monitoring on GCS score,complications and prognosis of severe traumatic brain injury patients with trauma craniectomy
摘要
Abstract
Objective To explore the influence of intracranial pressure monitoring on GCS score,complications and prognosis of severe traumatic brain injury patients with trauma craniectomy.Methods A total of 84 patients with STBI were randomly divided into two groups.The routine group was treated with standard large trauma craniectomy,and monitoring group was treated with trauma craniectomy combined with intracranial pressure monitoring.The change of intra-carnial pressure before and after operation,GCS scores change,prognosis as well as post operative complications were compared between two groups.Results Compared with routine group,the intra-carnial pressure at 3rd and 7th day after operation in monitoring group significantly decreased (P<0.05),and the GCS score at 28th day improved after operation in both groups,and increasing degree of monitoring group was significantly higher than the routine group (P<0.05).The GCS score at 3rd month after operation indicated that the prognosis in monitoring group was significantly better than routine group (P<0.05).The incidence rates of electrolyte disturbance in monitoring group and routine group at 6 month after surgery were 59.5% and 33.3% respectively (P<0.05).Conclusion Standard trauma craniectomy combined with intracranial pressure monitoring treatment is effective in treatment of patients with severe traumatic brain injury.关键词
颅内压监测/颅脑损伤/重型/并发症/预后Key words
intracranial pressure monitoring/traumatic brain injury/severe/complications/prognosis分类
医药卫生引用本文复制引用
李会兵,陈谦学..颅内压监测对重度颅脑外伤行开颅血肿清除术患者GCS评分、并发症及预后的影响[J].实用临床医药杂志,2017,21(11):73-76,4.基金项目
湖北省自然科学基金项目(2016CFB144) （2016CFB144）
